Nuka tututue nye A1C dodokpɔ si gblɔa wò ʋumesukli ƒe agbɔsɔsɔ? Mina míaƒo nu tso eŋu!

Ðewohĩ èse ɖɔktawo gblɔ be, "Ele be woado A1C kpɔ." Alo ne suklidɔ le wò ƒomea me tɔ aɖe ŋu la, ɖewohĩ èse A1C dodokpɔ sia ŋu nya kpɔ. Nuka tututue nye A1C dodokpɔ sia? Nukae míate ŋu asrɔ̃ tso eme? Egbea, míaƒo nu tso A1C dodokpɔ sia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae nye A1C dodokpɔa?

Kpuie ko la, A1C dodokpɔ nye dodokpɔ si dzidzea wò ʋumesukli, alo ``Glucose'', ƒe agbɔsɔsɔ le ɣleti etɔ̃ siwo va yi me. Wogblɔ emetsonuwo abe alafa memamã ene. Zi alesi sukli sɔ gbɔ ɖe wò ʋu me la, zi nenemae wò ʋumesukli ƒe agbɔsɔsɔ dzina ɖe edzii.

Ðɔktawo zãa A1C dodokpɔa le susu vevi geɖe ta:

• De dzesi afɔɖeɖe si do ŋgɔ na suklidɔ (`(Prediabetes)`). Eyae nye afɔɖeɖe si gogo suklidɔ xɔxɔ.
• Kpɔe ɖa tututu ne suklidɔ ƒomevi evelia le ŋuwò.
• Ne suklidɔ ƒomevi eve alo suklidɔ ƒomevi 1 le ŋuwò la, ele vevie be nàse alesi wò atikewɔwɔ ƒe ɖoɖoa le dɔ wɔm nyuie gɔme. Wò A1C ƒe agbɔsɔsɔ ate ŋu akpe ɖe ŋuwò kple wò ɖɔkta miatso nya me nenye be ehiã be miawɔ tɔtrɔ le miaƒe atikewɔwɔ ƒe ɖoɖoa ŋu.

Aleke wowɔa A1C dodokpɔae?

Ðɔktawo doa A1C kpɔna le mɔ eve nu:

• Zi geɖe la, woɖea ʋu sue aɖe tso ʋuka aɖe me heɖonɛ ɖe dodokpɔxɔ me be woadoe kpɔ. Esiae nye mɔnu si bɔ wu. Woyɔa esia be ``Phlebotomist'' si ɖea ʋu.
• Mɔnu bubue nye be nàɖe ʋu aɖe le wò asibidɛ ƒe nugbɔ adoe kpɔ. Esia ate ŋu ana nàkpɔ emetsonuwo le miniti ʋɛ aɖewo ko me. Gake ɖeko wozãa mɔnu sia tsɔ kpɔa alesi wò atikewɔwɔa le edzi yim, eye womezãnɛ tsɔ dea dzesi dɔléle yeye aɖe o.

Zi geɖe la, dodokpɔ si me wozãa vein le la dea pɛpɛpɛ wu asibidɛ ƒoƒo dodokpɔ.

Ŋkɔ bubu kawoe wotsɔ na A1C dodokpɔa?

Wotsɔ ŋkɔ bubu geɖe yɔa A1C dodokpɔ sia. Àte ŋu ase ŋkɔ siawo hã:

• Ʋumenugbagbeviɣidɔ A1C `(Hemoglobin A1C)`
• HbA1c `(HbA1c)`
• Hemoglobin si me glycated le
• Glycohemoglobin dodokpɔ `(Glycohemoglobin dodokpɔ)`

Nukae nye ʋumesukli (Glucose)?

Míaƒe ŋutilã xɔa `(Glucose)` alo sukli sia koŋ tso carbohydrates siwo le nuɖuɖu siwo míeɖuna me. Esiae nye ŋusẽtsoƒe vevitɔ na míaƒe ŋutilã ƒe lãmenugbagbeviwo. Míaƒe ʋu tsɔa `(Glucose)` sia yia lãmenugbagbevi siwo le ŋutilã bliboa me.

Nu geɖe siwo yia edzi le míaƒe ŋutilã me kpena ɖe ame ŋu be sukli ƒe agbɔsɔsɔ le ʋu me nanɔ agbɔsɔsɔ aɖe me. Akpa vevitɔ kekeake le esia me enye lãmetsi si nye ``Insulin``, si míaƒe dɔgbo wɔna.

Ne sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi ɣesiaɣi (suklidɔ), si fia be wò A1C hã sɔ gbɔ la, zi geɖe la, efia be suklidɔ le ŋuwò. Suklidɔ dzɔna ne dɔgboa mewɔa insulin si sɔ o, alo ne insulin agbɔsɔsɔme si wòwɔna mesɔ gbɔ o, alo ne ŋutilãa mete ŋu zãa insulin nyuie o.

Ɣekaɣie wòhiã be woawɔ A1C dodokpɔ?

Ne suklidɔ le ŋuwò la, ele be woado A1C kpɔ zi eve ya teti le ƒea me be nàkpɔ alesi wò atikewɔwɔ ƒe ɖoɖoa le dɔ wɔm nyuie. Wò ɖɔkta agblɔ zi neni tututu wòle be nàna woawɔ esia na wò.

Ne womekpɔ suklidɔ le ŋuwò o, gake dzesi siwo gbɔna le ŋuwò la, ɖɔkta ate ŋu aɖe gbe be woado A1C kpɔ:

• Tsikɔwuame si gbɔ eme ɣesiaɣi (`(Polydipsia)`) .
• Aɖuɖɔtoe si gbɔ eme
• Nukpɔkpɔ si me mekɔ o
• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (`(Ðɖiteameŋu)`)

Àte ŋu awɔ dodokpɔ si nye A1C hã atsɔ akpɔe ɖa be suklidɔ ƒomevi eve xɔxɔ le afɔku me hã. Nusiwo ate ŋu ahe afɔku vɛ dometɔ aɖewoe nye:

• Ƒometɔ aɖe si ŋu suklidɔ ƒomevi eve le ƒe amesinɔnɔ.
• Ne suklidɔ le fufɔfɔ me va yi.
• Amidada.
• Kamedede alo kamedede ƒe anyimanɔmanɔ.
• Ƒe 35 kple edzivɔ xɔxɔ.

Aleke wobua A1C ƒe akɔntae?

Wotu A1C dodokpɔa ɖe nane si woyɔna be hemoglobin dzi . Hemoglobin nye míaƒe ʋumenugbagbevi dzĩwo ƒe akpa si tsɔa ɔksidzin yia ŋutilã bliboa me. Ne sukli le wò ʋu me la, eléna ɖe hemoglobin sia ŋu. Woyɔa esia be glycation . Zi alesi sukli sɔ gbɔ ɖe wò ʋu me la, zi nenemae nuléle sia dzina ɖe edzii. Eye, nuléle sia ateŋu anɔ anyi abe ɣleti etɔ̃ ene – si nye ʋumenugbagbevi dzĩ ƒe agbenɔƒe le mama dedie nu.

A1C dodokpɔa dzidzea sukli agbɔsɔsɔme si kpena ɖe ʋumenugbagbevi dzĩ ŋu le ɣeyiɣi aɖe megbe le mama dedie nu. Esi wònye be edzidzea sukli ƒe agbɔsɔsɔ le ʋu me le ɣeyiɣi aɖe megbe ta la, A1C dodokpɔa ate ŋu agblɔ nu geɖe tso wò lãmesẽ ŋu na mí wu suklidɔ dodokpɔ ɖeka.

Ðe wòhiã be matsi nu adɔ hafi woawɔ A1C dodokpɔa?

Ao, mehiã be nàtsi nu adɔ hafi awɔ A1C dodokpɔ o.

Nukae dzɔna ne èwɔ A1C dodokpɔ?

Nusi nàte ŋu akpɔ mɔ na tso A1C dodokpɔ, si bia be woaɖe ʋu tso ʋuka me lae nye esi:

• Ne èbɔbɔ nɔ zikpui dzi la, ʋumenugbagbeviɣidɔdala (ame si ɖea ʋu) adi ʋuka aɖe le wò alɔnu si me ʋu ɖeɖe tsoe bɔbɔe. Zi geɖe la, woɖea ʋua tso wò abɔ ƒe eme, le wò abɔta megbe tututu.
• Ne wonya ke ɖe ʋuka aɖe ŋu ko la, wokɔa teƒea hewua dɔlékuiwo.
• Emegbe wotsɔa aŋe sue aɖe dea ʋukaa me eye woɖea ʋu. Esia ate ŋu ase le eɖokui me abe ƒoƒoe vi aɖe ene.
• Ne wotsɔ aŋea de eme vɔ la, woƒoa ʋu vi aɖe nu ƒu ɖe dodokpɔmɔ̃ aɖe me.
• Ne wonya xɔ ʋu si sɔ na dodokpɔa ko la, woɖea aŋea ɖa eye wodzudzɔa ʋua dodo to kotoku alo gaze kakɛ aɖe tsɔtsɔ de teƒea dzi.
• Mlɔeba la, tsɔ aŋɔ de teƒea eye nèwu enu.

Le A1C dodokpɔ, si wowɔna to ʋu ɖeɖe tso asibidɛ me me la, nu siwo gbɔna la dzɔna:

• Ðɔkta aɖe bia wò be asibidɛ ka dzi nàxɔ ʋu tsoe.
• Woatsɔ aha atutu wò asibidɛwo eye woatsɔ aŋe sue aɖe si woyɔna be ``Lancet'' (zi geɖe la, esia nɔa plastik-mɔ̃ sue aɖe me) awɔ tome sue aɖe.
• Woami wò asibidɛ ƒe nugbɔ, aɖe ʋu sue aɖe, eye woaƒoe nu ƒu ɖe aŋetu sue aɖe me.
• Ne wodo ʋu si sɔ na dodokpɔa vɔ la, woana kotoku alo gaze kakɛ aɖe wò be wòalé wò asibidɛ ƒe nugbɔ be ʋua natɔ te.
• Zi geɖe la, woate ŋu akpɔ emetsonuwo le miniti ʋɛ aɖewo ko me.

Ðe afɔku aɖewo le A1C dodokpɔa mea?

Ʋudodokpɔ nye atikewɔwɔ me dodokpɔ ƒe akpa si bɔ ŋutɔ eye wòhiã. Afɔku siwo le A1C dodokpɔ ƒomevi eveawo siaa me la le sue ŋutɔ. Àte ŋu akpɔ abi alo abi aɖewo le afisi woɖe ʋua le alo afisi woƒo wò asibidɛ le, gake esia ahaya kaba.

Nukae nye A1C ƒe asixɔxɔ fia?

Wotsɔa A1C dodokpɔ me tsonu naa abe alafa memamã ene. Xexlẽme sia gblɔa hemoglobin protein ƒe agbɔsɔsɔme si me sukli le, si fia be elé ɖe sukli ŋu. Zi alesi suklia sɔ gbɔ ɖe wò ʋu me le ɣleti ʋɛ siwo va yi me.

A1C ƒe agbɔsɔsɔ si woatsɔ anya dɔléleae nye esiawo:

• Ne mede 5.7% o la, efia be suklidɔ mele ŋuwò o. (Lãmesẽ ƒe dzidzenu) .
• Ne ele 5.7% va ɖo 6.4% dome la, wobunɛ be enye suklidɔ si do ŋgɔ na suklidɔ. Esia fia be suklidɔ gogo.
• Zi geɖe la, agbɔsɔsɔ si nye 6.5% alo esi wu nenema fiaa suklidɔ ƒomevi 2 (`(Suklidɔ Ƒomevi 2)`) alo suklidɔ ƒomevi 1 (`(Suklidɔ Ƒomevi 1)`).

Ne suklidɔ le ŋuwò xoxo la, wò A1C me tsonu ɖe ​​alesi wò atikewɔwɔ ƒe ɖoɖoa wɔ dɔ nyuie le ɣleti etɔ̃ siwo va yi me fia. Dɔdamɔnu sia ate ŋu anye atikekuiwo, insulin dodo, suklidɔ dodokpɔ enuenu le ʋu me, kple agbenɔnɔ ƒe tɔtrɔ (abe nuɖuɖu kple kamedede ene). Mia kple wò ɖɔkta miate ŋu anɔ te ɖe wò A1C ƒe asixɔxɔ dzi atso nya me nenye be ehiã be woawɔ tɔtrɔ aɖewo le wò atikewɔwɔ ƒe ɖoɖoa ŋu.

Nu vevitɔ si dzi wòle be nàɖo ŋkui enye be wò A1C (ne suklidɔ le ŋuwò) nye wò ʋumesukli ƒe agbɔsɔsɔ le ɣleti ʋɛ aɖewo me ƒe mamã dedie ko. Menye wò lãmesẽ ƒe dzesi alo nyametsotso mamlɛtɔ si nàwɔ be èle agbe nyui nɔm o. Ðo ŋku edzi be wò A1C ate ŋu atrɔ le wò agbemeŋkekewo katã me, eye nanewo li nàte ŋu awɔ atsɔ akpɔ wò suklidɔa gbɔ eye wò A1C ƒe agbɔsɔsɔ nanyo ɖe edzi, ne ehiã.

Nukae nye A1C kple sukli si wobu be esɔ (eAG)?

Nudokpɔƒe aɖewo naa A1C me tsonu abe alafa memamã ene, kple esiwo sɔ kpliiWogblɔ sukli (eAG) ƒe asixɔxɔ si wobu le mama dedie nu hã.

`(eAG)` ƒe akɔntabubua trɔa A1C ƒe alafa memamã ɖe nudzidzenu mawo ke (miligram le desilita ɖeka me - mg/dL alo milimole le lita ɖeka me - mmol/L) si nèzãna kple wò aƒeme suklidzidzenu. Abe alesi wò A1C nye mamã dedie ene la, `(eAG)` nye asixɔxɔ ɖeka si ɖea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti etɔ̃ siwo va yi me fiana.

Le kpɔɖeŋu me, A1C si nye 7% sɔ kple `(eAG)` 154 mg/dL (8.6 mmol/L). A1C si nye 9% sɔ kple `(eAG)` 212 mg/dL (11.8 mmol/L).

Nukae nye A1C ƒe asixɔxɔ si sɔ?

Le amesi si suklidɔ mele o gome la, A1C ƒe xexlẽme si sɔ la mede 5.7% o.

Nusi wobuna be enye "nusi sɔ" eye wòle lãmesẽ me na suklidɔlélawo nɔ te ɖe wò taɖodzinuwo kple suklidɔ dzi kpɔkpɔ ƒe atikewo kple dɔwɔnuwo xɔxɔ dzi. Mia kple wò ɖɔkta miawɔ dɔ aduadu akpɔ A1C ƒe didime si miaɖo taɖodzinu na. Esia ate ŋu atrɔ le wò agbemeŋkekewo katã me.

Le goawo katã me la, Amerika Suklidɔ Habɔbɔ kafui be ame tsitsi akpa gãtɔ siwo ŋu suklidɔ le naɖoe be A1C nanye 7% alo esi mede nenema o .

Wò A1C taɖodzinu ate ŋu akɔ wu 7% le nɔnɔme siawo me:

• Ne agbenɔƒe si wokpɔ mɔ na la se ɖe afi aɖe.
• Ne sukli ƒe agbɔsɔsɔ si ɖiɖina vevie le ʋu me (`(Hypoglycemia)`) alo mènya nu tso nudzɔdzɔ mawo tɔgbe ŋu o (`(Hypoglycemia unawareness)`).
• Ne suklidɔ ƒe kuxi sesẽwo le ŋuwò (abe ayikudɔ si nɔa anyi didi, lãmekawo ƒe gbegblẽ, alo dzitodzito me dɔléle ene).

Le go bubu me la, le nyɔnu siwo ŋu suklidɔ ƒomevi 1 le le fufɔɣi gome la, zi geɖe la, ɖɔktawo kafui be woana A1C ƒe agbɔsɔsɔ nanɔ 6.5% alo wòaɖiɖi wu le fufɔɣi katã. Wowɔa esia be woatsɔ aɖe lãmesẽkuxi siwo le fugboea ŋu dzi akpɔtɔ eye woaxe mɔ ɖe fugboea ƒe tsitsi fũu akpa nu (fetal macrosomia).

Nukae nye A1C ƒe agbɔsɔsɔ si me afɔku le?

Ne wò A1C ƒe agbɔsɔsɔ le dzidzim ɖe edzi, vevietɔ ne enɔ kɔkɔm ƒe geɖe la, anɔ eme be kuxiwo abe:

• Ŋku ƒe dɔléle (`(Retinopathy)`) .
• Ayiku ƒe kuxiwo (`(Nephropathy)`) .
• Lãmetsiŋusẽ ƒe kuxiwo (`(Ahɔhɔ̃mekawo ƒe dɔléle)`) .
• Dɔgbo ƒe dɔmawɔmawɔ nyuie (Gastroparesis) .
• Dzidɔ
• Gbagbãdᴐ

Numekukuwo ɖee fia be suklidɔlélawo ate ŋu aɖe suklidɔ ƒe kuxiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ to A1C ƒe agbɔsɔsɔ si mede 7% o me .

Gake ɖo ŋku edzi be nu bubuwo abe domenyiŋusẽfianu kple ɣeyiɣi didi si suklidɔ le ŋuwò ene hã ate ŋu akpɔ ŋusẽ ɖe suklidɔ ƒe kuxiwo ƒe dzɔdzɔ dzi.

Ðe A1C dodokpɔa de pɛpɛpɛ nyateƒea?

Nu aɖewo ate ŋu akpɔ ŋusẽ ɖe A1C dodokpɔwo ƒe nyateƒetoto dzi, siwo dometɔ aɖewoe nye:

• Domenyiŋusẽfianu, le kpɔɖeŋu me, hemoglobin ƒe vovototowo
• Atikewɔwɔ ƒe nɔnɔme bubuwo
• Atike aɖewo kple nunyiametikewo
• Vodadawo le kpɔɖeŋuwo nuƒoƒoƒu, wo tsɔtsɔ yi teƒe bubuwo, alo wo ŋudɔwɔwɔ me hena dodokpɔ

Nu siawo ateŋu ana wò emetsonua nanye `aʋatso bɔbɔe` alo `aʋatso kɔkɔ`. Nu siawo dometɔ geɖe tsoa wò ʋumenugbagbevi dzĩwo ƒe agbenɔƒe kple woƒe lãmesẽ ƒe tɔtrɔ gbɔ.

Hemoglobin ƒe Vovototowo Kple A1C Emetsonuwo

Hemoglobin ƒe vovototowo ate ŋu akpɔ ŋusẽ ɖe A1C dodokpɔ aɖewo me tsonu dzi.

Nusiwo ƒe dome nènyi tso wò domenyiŋusẽfianuwo me ye dea dzesi ʋumenugbagbevi dzĩ si le wò ʋu me. Wole ƒomevi vovovowo. Esi bɔ wue nye hemoglobin A. Woyɔa hemoglobin ƒomevi bubu siwo mebɔ o be hemoglobin ƒe tɔtrɔwo.

Hemoglobin ƒe tɔtrɔ aɖe ƒe amesinɔnɔ medzia suklidɔ xɔxɔ ƒe afɔkua ɖe edzi o, gake ate ŋu akpɔ ŋusẽ ɖe A1C me tsonu dzi. Mɔ vovovowo le dodokpɔxɔwo si be woatsɔ ado A1C kpɔ le ʋu me kple hemoglobin ƒe tɔtrɔ aɖe.

Ati ƒomevi siwo wokpɔna wu dometɔ aɖewoe nye:

• Hemoglobin C ƒe nɔnɔme : Esia bɔ ɖe ameyibɔwo, amesiwo tso Ɣetoɖoƒe Afrika, kple amesiwo tso Anyiehe kple Titina Amerika, Caribbean, kple Europa dome wu.
• Hemoglobin D ƒe nɔnɔme : Esia bɔ ɖe amesiwo le China, India, Turkey, Brazil, kple Europa ƒe akpa aɖewo dome.
• Hemoglobin E ƒe nɔnɔme : Esia bɔ ɖe Asia Amerikatɔwo dome wu, vevietɔ amesiwo tso Anyieheɣedzeƒe Asia.
• Hemoglobin S trait : Esia bɔ ɖe ameyibɔwo kple Hispania Amerikatɔwo dome wu.

Ʋudodokpɔ ate ŋu ade dzesi ʋumenugbagbeviɣidɔ ƒe vovototowo. Ne èsusu be ɖewohĩ ʋumenugbagbevi dzĩ ƒe tɔtrɔ aɖe le ye ŋu si ate ŋu akpɔ ŋusẽ ɖe yeƒe A1C ƒe dɔwɔwɔ dzi la, ke ƒo nu kple wò ɖɔkta.

Susu siwo tae wò A1C ate ŋu aɖiɖi wu alesi wòle ŋutɔŋutɔ

Nɔnɔme kple nɔnɔme siawo ate ŋu ana wò A1C ƒe dodokpɔa naɖiɖi wu wò agbɔsɔsɔ ŋutɔŋutɔ:

• Ahanono fũu akpa (`(Ahanono ƒe kuxi)`)
• Ʋudodo
• Ayiku ƒe dɔmawɔmawɔ nyuie atraɖii (`(Ayiku ƒe dɔmawɔmawɔ nyuie atraɖii)`)
• Atike siwo doa ŋusẽ ʋumenugbagbeviɣidɔ (ESAs) .
• Ʋu si le dodom fũu akpa (`(Ʋu dodo)`) .
• Agbenɔnɔ le teƒe kɔkɔ aɖe
• Iron-tikewo nono
• Cirrhosis of the liver (`(Aklã ƒe dɔléle)`) .
• Fufɔfɔ
• Ʋusɔgbɔdɔ si me ʋu sina tona (`(Sickle cell anemia)`)
• Spherocytosis kple ʋumenugbagbeviɣidɔ (`(Spherocytosis kple ʋumenugbagbeviɣidɔ)`)

Susu siwo tae A1C ƒe asixɔxɔwo ate ŋu akɔ wu alesi wole ŋutɔŋutɔ

Nɔnɔme kple nɔnɔme siawo ate ŋu ana wò A1C me tsonu nasɔ gbɔ wu alesi wòle ŋutɔŋutɔ:

• Ʋusɔgbɔdɔ, le kpɔɖeŋu me ʋusɔgbɔdɔ si me iron mele o, ʋusɔgbɔdɔ si dɔlékuiwo hena vɛ, alo ʋusɔgbɔdɔ si kansa hena vɛ.
• Atike aɖewo, abe dɔlélenutsiŋutete ƒe atikewo kple protease mɔxenuwo ene.
• Triglycerides ƒe dzidziɖedzi le ʋu me (`(Hypertriglyceridemia)`) .
• Ŋutilãwo ƒe ŋutinuwo dodo na ame
• Thalassemia (`(Thalassemia)`) ƒe dɔléle.
• Vitamin B12 ƒe anyimanɔmanɔ (`(Vitamin B12 ƒe anyimanɔmanɔ)`)

Ðe woate ŋu ada suklidɔ ne A1C ƒe agbɔsɔsɔ sɔ gbɔ gɔ̃ hã?

Ẽ, àte ŋui. Esi A1C sɔ gbɔ (si wu 6.5%) ta la, mefia be suklidɔ le ŋuwò o. Atike aɖewo, abe steroid ene, alo nu bubuwo, abe dɔléle ene, ate ŋu ana wò ʋumesukli nadzi ɖe edzi hena ɣeyiɣi aɖe. Nɔnɔme bubuwo abe ʋusɔgbɔdɔ ene ate ŋu ana wò A1C ƒe dodokpɔa nadze abe ɖe wòsɔ gbɔ wu alesi wòle ŋutɔŋutɔ ene. Mɔnukpɔkpɔ hã li be dodokpɔa ate ŋu anye esi mesɔ o.

Ðɔktawo zãa dodokpɔ siwo wu ɖeka tsɔ dea dzesi suklidɔ. Le kpɔɖeŋu me, woate ŋu abia tso asiwò be nàwɔ nutsitsidɔ ƒe ʋumesukli dodokpɔ alo A1C dodokpɔ. Gake wò ɖɔkta alé ŋku ɖe wò dɔwɔwɔ me tsonu ŋu nyuie eye wòadzro wo me kpli wò.

Ðe A1C gblɔa suklidɔ dzi kpɔkpɔ ŋu nya na wò pɛpɛpɛa?

Ƒe bla nanewoe nye sia si ɖɔktawo kple suklidɔlélawo zãa A1C dodokpɔa koŋ tsɔ dzidzea alesi woƒe atikewɔwɔa le dɔ wɔm nyuie.

Gake vevietɔ le amesiwo ŋu suklidɔ ƒomevi 1 le gome la, sukli ƒe agbɔsɔsɔ le ʋu me ate ŋu atrɔ ŋutɔ le ŋkeke, kwasiɖa, kple ɣleti geɖe megbe. Eyata wotu A1C ɖe mamã dedie dzi eye menye ɣesiaɣie wònaa dɔdzikpɔkpɔ ƒe nɔnɔmetata si sɔ pɛpɛpɛ o.

Le kpɔɖeŋu me, bu esia ŋu kpɔ: Ame aɖe ƒe sukli ƒe agbɔsɔsɔ le ʋu me nɔa tɔtrɔm ɣesiaɣi, gake eƒe A1C ate ŋu anye 7%. Ame bubu ƒe sukli ƒe agbɔsɔsɔ le ʋu me nɔa abe 154 mg/dL ene ɣesiaɣi, eye woƒe A1C hã ate ŋu anye 7%.

Nyitsɔ laa, esi woto mɔ̃ siwo wotsɔna léa ŋku ɖe suklidɔ ŋu ɣesiaɣi (CGM) vɛ ta la, ɖɔktawo kple suklidɔlélawo kpɔe be Ɣeyiɣi si Wozãna le Suklidɔ me (TIR) ​​naa wokpɔa suklidɔ dzi kpɔkpɔ ƒe nɔnɔmetata si ŋu viɖe le wu eye wòdea pɛpɛpɛ wu.

TIR nye ɣeyiɣi agbɔsɔsɔme si wò ʋumesukli ƒe agbɔsɔsɔ le afisi woɖoe be wòaɖo. Wodzidzea TIR la abe alafa memamã ene. Ʋumesukli ƒe taɖodzinu ƒe didime ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, gake taɖodzinu si wozãna zi geɖe le 70 va ɖo 180 mg/dL dome. Le ame tsitsi akpa gãtɔ siwo ŋu suklidɔ ƒomevi 1 alo ƒomevi 2 le gome la, ɖɔktawo kafui be woadze agbagba ana TIR nade 70% (anɔ abe gaƒoƒo 17 ene le gaƒoƒo 24 ƒe ŋkekea me).

Ne wozã `(CGM)` kple `(TIR)` la, ɖɔktawo kple suklidɔlélawo ateŋu akpɔ zi nenie woƒe ʋumesukli ƒe agbɔsɔsɔme sɔa gbɔ alo bɔbɔna. Esia kpena ɖe wo ŋu wotrɔa asi le woƒe atikewɔwɔ ƒe ɖoɖowo ŋu wòdea pɛpɛpɛ wu.

Mlɔeba la, ele be nàgblɔ be...

Ate ŋu atɔtɔ ne wò A1C me tsonuawo mesɔ gbɔ abe alesi nèkpɔ mɔe ene o alo lolo wu alesi nèkpɔ mɔe. Gake ɖo ŋku edzi be A1C si sɔ gbɔ mefia kokoko be suklidɔ le ŋuwò o. Nu geɖe li siwo ate ŋu ana emetsonuwo nade pɛpɛpɛ o. Wò ɖɔkta agblɔ na wò ne ehiã be woadoe kpɔ geɖe wu. Mègavɔ̃ be yeabia nya wò ɖɔkta o. Wole afima be yewoakpe ɖe ŋuwò.

Ne suklidɔ le ŋuwò la, ele vevie be nàɖo ŋku edzi be sukli si le ʋu me ƒe mamã dedie nu koe wò A1C nye. Nu aɖewo li nàte ŋu awɔ be wò A1C ƒe agbɔsɔsɔ nanyo ɖe edzi. Ne èle sesem le ɖokuiwò me be yeƒe suklidɔa gbɔ kpɔkpɔ ƒe nu te ɖe ye dzi la, ke ƒo nu kple wò ɖɔkta. Miate ŋu awɔ ɖoɖo ɖekae atsɔ akpɔ miaƒe suklidɔa gbɔ eye miaɖo miaƒe A1C taɖodzinuwo gbɔ.

` A1C, HbA1c, suklidɔ, ʋumesukli, sukli, ʋumenugbagbeviɣidɔ, suklidɔ dodokpɔ